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Wallstents in patients with detrusor-sphincter dyssynergia
D Sauerwein1, A J Gross, J Kutzenberger
1Department of Urology, Werner Wicker Klinik, Bad Wildungen, Germany.
Purpose:
For patients with spinal cord injuries who are unable to perform clean intermittent self-catheterization, sphincterotomy is performed most commonly to avoid high bladder pressure. This procedure causes additional trauma and does not always lead to a satisfactory result. Therefore, we sought an alternative therapy.
Materials And Methods:
We introduce our initial experience with the UroLume Wallstent* in the treatment of 51 patients with spinal cord injuries and detrusor-sphincter dyssynergia (observation time 12 to 36 months). Prior sphincterotomy was unsuccessful in all patients.
Results:
All observed urodynamic, radiological and clinical findings improved, and the results are encouraging.
Conclusions:
Implantation of this device seems to be appropriate in select paraplegic patients.